Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRI-COUNTY PEDIATRICS, INC

NPI: 1235176397 · ELKINS PARK, PA 19027 · Pediatrics Physician · NPI assigned 05/31/2006

$7.61M
Total Medicaid Paid
266,797
Total Claims
255,214
Beneficiaries
60
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAFFEE, LEE (MANAGING PARTNER)
NPI Enumeration Date05/31/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,997 $39K
2019 5,227 $95K
2020 19,790 $429K
2021 73,315 $2.00M
2022 62,257 $1.69M
2023 54,007 $1.81M
2024 50,204 $1.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,579 16,128 $1.63M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13,012 12,504 $1.21M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,446 12,052 $1.12M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,921 34,843 $977K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,350 7,068 $646K
90460 Immunization administration through 18 years of age via any route, first or only component 26,644 25,882 $625K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,733 8,367 $326K
92551 17,888 17,177 $216K
90461 12,258 11,966 $182K
99499 4,963 4,891 $148K
90700 6,288 6,099 $69K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,359 4,078 $42K
99173 19,220 18,490 $38K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,946 6,447 $30K
90651 2,323 2,265 $27K
90734 1,639 1,557 $26K
90688 1,830 1,701 $22K
90670 5,838 5,688 $22K
0072A 584 581 $20K
99381 292 285 $19K
90713 4,770 4,644 $18K
90648 4,826 4,612 $17K
90686 5,181 5,035 $16K
90680 3,996 3,894 $16K
96127 7,634 7,447 $15K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 165 162 $15K
90716 3,361 3,288 $12K
90707 3,229 3,161 $12K
90633 3,646 3,462 $11K
99401 388 356 $9K
0002A 279 266 $9K
3008F 4,949 4,678 $8K
0001A 468 305 $8K
90677 1,243 1,233 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 824 783 $7K
0071A 649 604 $5K
90697 866 855 $4K
90715 1,208 1,162 $4K
90744 3,823 2,432 $4K
99383 59 55 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 200 196 $4K
90472 Immunization administration, each additional vaccine (list separately) 207 200 $3K
90656 617 606 $3K
90687 313 294 $2K
83655 433 419 $2K
90619 687 666 $2K
99051 1,627 1,571 $2K
96160 1,050 1,042 $673.50
90698 274 273 $563.02
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 332 211 $528.98
96161 713 689 $417.78
90696 212 209 $199.00
85018 456 432 $84.91
86580 54 51 $61.24
G9920 Screening performed and negative 1,738 1,653 $61.20
94760 59 57 $1.98
90710 97 97 $0.00
90681 18 18 $0.00
99215 Prolong outpt/office vis 16 15 $0.00
81003 17 12 $0.00